莫桑比克严重精神和神经疾病的流行:基于人口的调查调查
Vikram Patel1, Ana Paula Ferrao Simbine, Isabel Cristina Soares
1London School of Hygiene & Tropical Medicine, London, UK. vikram.patel@lshtm.ac.uk
Lancet (London, England)
|September 25, 2007
概括
精神和神经系统障碍,如精神病,精神障碍和发作障碍在莫桑比克农村更为普遍. 增加投资和与传统治疗师的合作对于这些服务不足的地区至关重要.
科学领域:
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 莫桑比克关于精神和神经健康的有限数据阻碍了政策和投资.
- 评估关键疾病的流行率对于有针对性的干预至关重要.
研究的目的:
- 确定城市和农村莫桑比克的发作障碍,精神病和精神障碍的患病率.
- 了解这些疾病的感知原因和治疗方法.
主要方法:
- 随机选择的2739个家庭 (1796个城市,943个农村).
- 利用关键信息来识别患有疾病的个体,基于病例简介.
- 收集有关疾病原因,治疗和当前健康状况的数据.
主要成果:
- 在农村和城市环境中,精神病,精神障碍和发作障碍的终身患病率更高.
- 精神病患病率:农村4.4%与城市1.6%相比;精神障碍:农村1.9%与城市1.3%相比;发作:农村4.0%与城市1.6%相比.
- 超自然原因经常被认为是精神病和发作障碍;在大多数情况下咨询传统治疗师;农村人口患有障碍往往健康不佳.
结论:
- 迫切需要宣传,以提高对精神障碍的理解.
- 对心理健康资源的投资至关重要,特别是在莫桑比克的农村地区.
- 与传统医疗从业者的合作对于有效的护理至关重要.
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